Hasan F, Arumugam K, Sivanesaratnam V
Department of Obstetrics and Gynaecology, University Hospital, Kuala Lumpur, Malaysia.
Int J Gynaecol Obstet. 1991 Jan;34(1):45-8. doi: 10.1016/0020-7292(91)90537-f.
Sixty cases with uterine leiomyomata in pregnancy are presented. The incidence was 1 in 1033 deliveries. The median age of the patients was 33.4 years. The majority were primigravidae (60%). A significant number of patients gave a history of infertility (43%) and spontaneous abortions (25%). The commonest antenatal complication was malpresentation and in all these patients the myomata were larger than 6 cm. Typical features of red degeneration occurred in 10% of cases. The cesarean section rate was 73%, the commonest indication being obstructed labor. Severe hemorrhage was encountered at cesarean section in 10 patients, 3 of whom needed hysterectomy. There were no perinatal deaths.
本文报告了60例妊娠合并子宫平滑肌瘤的病例。发病率为1/1033分娩。患者的中位年龄为33.4岁。大多数为初产妇（60%）。相当数量的患者有不孕史（43%）和自然流产史（25%）。最常见的产前并发症是胎位异常，所有这些患者的肌瘤均大于6 cm。10%的病例出现典型的红色变性特征。剖宫产率为73%，最常见的指征是产程梗阻。10例患者剖宫产时发生严重出血，其中3例需要行子宫切除术。无围产期死亡。
